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Part I – Difficult Airway Management : The Elaine Bromiley Case

  The Elaine Bromiley Case “This video, produced by Simpact with the permission of Martin Bromiley, is primarily intended for the education of healthcare clinicians, particularly those involved in advanced airway management. By providing a more immersive, real-time version of events which includes some technical detail, the hope is that …

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Psychology of the Difficult Airway

    Rich Levitan, pioneer in airway management, talks about the psychology of the difficult airway and operator stress response. From the ERCAST podcast with Rob Orman, MD. This month’s audio podcast from the master of airway management, provides us with an almost transcendental approach to the difficult airway. A …

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Post-Intubation and Ventilator Management

    Congratulations ! You got the tube in! Let’s celebrate! Wait. Not so fast – you still have work to do.       1. What are some of the things most commonly overlooked in post-intubation management? 2. Do you always provide both anesthesia AND analgesia to your intubated …

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Visual Diagnosis # 5

                      A 46 year old male presents with complaints of sore throat and difficulty swallowing over the past 5 days. He described subjective fevers over the past 2 days which he related to a recently infected lower molar which has …

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Digital Intubation

    ~ Tricks of the Trade ~ Tactile or Digital Intubation seems to be a lost art which has been forgotten in this age of video laryngoscopy. On the May 2013 episode of EM:RAP, Dr. Patrick Shipsey reminds us that digital intubation can be used as a blind intubation …

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The RAMP

  ~ Tricks of the Trade ~ When discussing proper technique for endotracheal intubation, we often emphasize ear to sternal notch positioning. Especially in the obese patient, this technique will maximize visualization and improve the mechanics of ventilation. In obese patients and select anticipated difficult airways I often see this …

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Bougie-Aided Cricothyrotomy

  A great video discussing   Bougie-Aided Cricothyrotomy By Darren Braude   Originally posted on the EMCrit blog by Scott Weingart     Want to read more…?              

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Clinical Case: shortness of breath

  A 47 year-old female presents to the ED via basic life support ambulance with sudden onset of severe dyspnea after a witnessed choking episode while taking her daily medications. On arrival: Morbidly obese female sitting upright in the stretcher with a non-rebreather mask. She appears diaphoretic with severe dyspnea …

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Apneic Oxygenation

    Preoxygenation has been used routinely prior to rapid sequence intubation (RSI) with the goal of maintaining hemoglobin saturation during airway management. However, patient’s who are still hypoxemic ≤ 90%, have multilobar pneumonia or other causes for increased metabolic demands, can quickly desaturate during endotracheal intubation despite adequate preoxygenation. …

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The Intubation Checklist

    To maintain safe working conditions and to prevent human errors, individuals who work under very stressful situations such as the military and the airline industry currently use “checklists” to ensure proper implementation of procedures and protocols as well as to prevent errors of omission.       Please …

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